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射频消融治疗晚期痔病的初步经验。

Initial experience of radiofrequency ablation for the treatment of advanced haemorrhoidal disease.

作者信息

Gandhi Jignesh Ashwin, Shinde Pravin Hanumant, Banker Amay, Chaudhari Sadashiv N

机构信息

Global Hospital Mumbai, Parel, Mumbai, India.

Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, India.

出版信息

Prz Gastroenterol. 2022;17(3):234-239. doi: 10.5114/pg.2021.110011. Epub 2021 Oct 14.

DOI:10.5114/pg.2021.110011
PMID:36127948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9475478/
Abstract

INTRODUCTION

The ideal approach to the management of haemorrhoidal disease (HD) remains to be elucidated. A procedure that returns the anal cushions to their normal size without destroying them or damaging the surrounding tissues is sought. Radiofrequency ablation (RFA) overcomes many of the disadvantages of the previously described repairs and may be a valuable alternative in the management of advanced HD.

AIM

To evaluate the efficacy and outcomes of the Rafaelo technique for treatment of HD.

MATERIAL AND METHODS

A retrospective observational study was carried out between June 2019 and October 2020. The haemorrhoidal severity score (HSS), the Cleveland Incontinence Score (CIS), and the visual analogue scale (VAS) for pain were compared prior to and post procedure using a paired t-test.

RESULTS

Forty-seven patients were included in the study, with a mean age of 43 years. All individual symptom scores of HSS showed statistically significant improvement post RFA ( < 0.05). Minor complications like urinary retention (6.3%) and bleeding (12%) were noted. There were 2 instances of recurrence at 2 months. No major complications like anal stenosis or infections were observed.

CONCLUSIONS

The RFA technique is a safe and effective treatment alternative for advanced HD. It results in a statistically significant improvement in the symptoms of HD and is associated with minimal discomfort to the patient with early return to normal activity.

摘要

引言

痔病（HD）的理想治疗方法仍有待阐明。人们一直在寻找一种能使肛垫恢复正常大小而不破坏它们或损伤周围组织的手术方法。射频消融（RFA）克服了先前所述修复方法的许多缺点，可能是晚期HD治疗中有价值的替代方法。

目的

评估拉斐罗技术治疗HD的疗效和结果。

材料与方法

于2019年6月至2020年10月进行了一项回顾性观察研究。术前和术后使用配对t检验比较痔严重程度评分（HSS）、克利夫兰失禁评分（CIS）和疼痛视觉模拟量表（VAS）。

结果

47例患者纳入研究，平均年龄43岁。RFA术后所有HSS个体症状评分均有统计学显著改善（<0.05）。注意到有尿潴留（6.3%）和出血（12%）等轻微并发症。2个月时有2例复发。未观察到肛门狭窄或感染等严重并发症。

结论

RFA技术是晚期HD安全有效的治疗选择。它能使HD症状有统计学显著改善，且患者不适最小，能早期恢复正常活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/5e1163a305ab/PG-17-45436-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/3bb658a1ca1a/PG-17-45436-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/f45d7742ce41/PG-17-45436-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/920b50410f53/PG-17-45436-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/269d3bb46789/PG-17-45436-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/c8956b56d3a4/PG-17-45436-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/5e1163a305ab/PG-17-45436-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/3bb658a1ca1a/PG-17-45436-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/f45d7742ce41/PG-17-45436-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/920b50410f53/PG-17-45436-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/269d3bb46789/PG-17-45436-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/c8956b56d3a4/PG-17-45436-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6567/9475478/5e1163a305ab/PG-17-45436-g006.jpg

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